We're an underfunded, understaffed community hospital, so I've gotten quite used to labs not being drawn, medications being given hours to days after they were initially ordered, charts getting lost. (It's a running "joke" here that orders should really be called gentle suggestions).
Anyway . . . mix ups, omissions, oversights, I pretty much count on them.
But this morning's error of commission caught even me off guard (and this is word for word):
"Good morning Dr. S, it's Nurse Jack on 4E. Your patient in room 63 was having some pain this morning and I know she's written for tylenol but I accidentally put in an IV and gave her 2mg of IV morphine."
::confused silence::
"Can you write an order for IV placement and the morphine for me?"
I actually did write the order after checking on the patient, though I had to file an incident report as well. At least I can relax a little, now that IV morphine has been written for, I can be relatively assured that my patient will never get it again. :-)
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